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Prevention of cardiac surgery-associated AKI by implementing the KDIGO guidelines in high risk patients identified by biomarkers: the PrevAKI randomized controlled trial

Intensive Care Medicine · 2017 · Vol. 43(11) · pp. 1551–1561
Melanie MeerschC. G. SchmidtA. HoffmeierHugo Van AkenCarola WempeJoachim GerßAlexander Zarbock

Abstract

An implementation of the KDIGO guidelines compared with standard care reduced the frequency and severity of AKI after cardiac surgery in high risk patients. Adequately powered multicenter trials are warranted to examine mortality and long-term renal outcomes.

Acute Kidney Injury ResearchCardiac Arrest and ResuscitationCardiac, Anesthesia and Surgical OutcomesMedicineAcute kidney injuryClinical endpointKidney diseaseCardiac surgeryRandomized controlled trialDialysisIntensive care medicineInternal medicineIntensive care unit

MeSH terms

Hemodynamic MonitoringAgedAngiotensin-Converting Enzyme InhibitorsCardiopulmonary BypassCreatinineFemaleHumansLength of StayMaleMiddle AgedPostoperative ComplicationsRisk FactorsSeverity of Illness IndexBiomarkersPractice Guidelines as Topic

Funding

  • Astute Medical
  • Deutsche Forschungsgemeinschaft
  • European Society of Intensive Care Medicine
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